| NPI | 1952110678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDETTE G HUMPHREY Chief Executive Officer 207-538-3700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-01-07 |